Lisenby, Molly D
Lisenby, Molly D is an individual health care provider with primary practice located at 5009 N Executive Dr Ste B , Peoria IL 61614. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Lisenby, Molly D can be contacted via phone (309) 839-8631.Contact Information
Primary practice address
5009 N Executive Dr Ste B
Peoria IL 61614
Phone: (309) 839-8631
Fax: (855) 579-3536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070-013673 | Illinois |
Profile Details
| NPI number | 1023060001 |
|---|---|
| LBN Legal business name | Lisenby, Molly D |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jul 31st, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Price, Derek P
303 N William Kumpf Blvd , Peoria IL 61605-2507 -
Bruesch, Jana
6501 N Sheridan Rd , Peoria IL 61614-2932 -
Schellhammer, Bruce A
303 N William Kumpf Blvd , Peoria IL 61605-2507 -
Godfrey, Cheryl
303 N William Kumpf Blvd , Peoria IL 61605-2507 -
Rapplean, Anthony J
7309 N Knoxville Ave , Peoria IL 61614-2085 -
Koy, Paula
303 N William Kumpf Blvd , Peoria IL 61605-2507 -
Fabish, Mark O
6000 N Allen Rd , Peoria IL 61614-3294 -
Nimrick, J D
3531 W Willow Knolls Dr , Peoria IL 61614-1078